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Vendor Assessment: Profiles of Five-Star Medicare Advantage Analytics Solutions

This IDC Health Insights report and its sister report, Vendor Assessment: Health Plans Seeking Stars, Adding Analytics Solutions for Medicare Advantage (August 2012), describe important five-star analytics solutions that help health plans compete in the Medicare Advantage market. Health plans are adopting these solutions because they help to earn valuable bonuses and consumer-oriented recognition against the government's five-star quality performance metrics. These bonuses are especially valuable against a backdrop of declining reimbursement rates.

Sven Lohse, research manager, Healthcare, with IDC Health Insights, says, "These solutions are quickly becoming a business requirement for current MA programs. In addition, we expect such five-star tools and capabilities will be useful to health plans as they cultivate MA- and non-MA-based business that is based on quality metrics (e.g., ACOs) and consumer-oriented business that will be transacted on health insurance exchanges."

Table of Contents


IDC Health Insights Opinion


In This Study


  • Methodology

Situation Overview

  • The Five-Star Program

IT Suppliers

  • Key Offering Functionality

  • Overview of Offerings

    • General Dynamics Information Technology (Formerly ViPS)

    • Health Dialog (Bupa)

    • Inovalon (Formerly MedAssurant)

    • McKesson

    • OptumInsight (UnitedHealth Group)

    • Verisk Health (Verisk Analytics)

Future Outlook

Essential Guidance


  • Actions to Consider

Learn More

  • Related Research

  • Synopsis

Table: Key Commonalities and Differences Among Five-Star Offerings

Table: Number of Quality and Performance Measures for Five-Star Rating Program


Table: Overview of Five-Star Offerings


Table: Five-Star Rating Program Performance Processes and Objectives


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